Christopher Blake Randle, MS, PT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1151637 Issued in TX

Practice address

4101 Wesley St
Suite H
Greenville, TX 75401-5635

Phone

(903) 454-8100

Fax

(903) 454-1180

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232
  Medicare reassignment Care Compare group NPD
• Endeavor Rehab Center Inc

  dba Athens Physical Therapy

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD
• Hulsey Therapy Services, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Commerce, TX
  • NPI 1659379667

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467460568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SPRINGFIELD DRIVE",
            "city": "COOPER",
            "state": "TX",
            "postal_code": "75432",
            "telephone_number": "903-395-4835",
            "fax_number": "903-886-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST",
            "address_2": "SUITE H",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-454-8100",
            "fax_number": "903-454-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "MS, PT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1151637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "8T1324",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviana M Ramirez, DMD
• Amanda Nicole Ramos, MSW
• Maritza Ramos, DDS
• Ramsey Inpatient Physicians PLLC
• Jahangir Ali Randhawa, M.D.
• Raza H. Sayed MD, PA (Psych Pointe)
• Cindy Reese, LCSW
• Reflections of Faith LLC
• Daniel K Reinboldt, D.C.
• Rhema Inc (Rhema Medical)

• Physical Therapist in Greenville, TX
• Providers in Greenville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.